Attendee Information

Please enter your first name, last name, and email address.

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* 1. Please enter your first name, last name, and email address.

Would you like to add your email address to The Alliance's distribution list, so you receive information about upcoming programs from time to time?

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* 2. Would you like to add your email address to The Alliance's distribution list, so you receive information about upcoming programs from time to time?

I am a

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* 3. I am a

What school(s) does your child(ren) attend?  (Check all that apply)

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* 4. What school(s) does your child(ren) attend?  (Check all that apply)

How did you hear about this program? (Check all that apply)

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* 5. How did you hear about this program? (Check all that apply)

Below please list any questions you would like to be addressed by David Sobel.

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* 6. Below please list any questions you would like to be addressed by David Sobel.

Are you registering for additional participants?

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* 7. Are you registering for additional participants?

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